Persistent Gum Swelling After Microscopic Root Canal Treatment: What to Do?
Swelling of the gums persists after microscopic root canal treatment? Hello, I would like to ask for your advice. After undergoing root canal treatment at a clinic, my gums continued to swell, so I went to a hospital for microscopic root canal treatment. After that, a CT scan sho...
Dr. Lin Jiayong Reply:
Hello: It is recommended to observe first. After a simple microsurgery, the body also needs time to recover. If there is still gum swelling and pain after six months, then consider whether other procedures "for the purpose of placing dentures" are necessary. Apex root s...[Read More] Persistent Gum Swelling After Microscopic Root Canal Treatment: What to Do?
Understanding Gum Issues: What Could That Bump on Your Gums Be?
Gum issues There is a small bump at the bottom of the gums of my lower teeth. It doesn't hurt when I touch it with my tongue, but it seems to hurt when I press it with my fingers. It's located too deep to reach. I want to know if this is a lump or if it could be caused ...
Dr. Zeng Guanghui Reply:
Dear Ms. Worried, If there is a painful small bump at the base of your gums when pressed, it may indicate an infection at the tooth's apex. It is advisable to consult a dentist for further examination. Dr. Tseng Guang-Hui, Department of Dentistry, Nantou Hospital[Read More] Understanding Gum Issues: What Could That Bump on Your Gums Be?
Can You Use a Tooth File for Sharp Molars or See a Dentist?
Friction between the tongue, inner cheeks, and teeth? The edges of the molars at the back are too sharp, often causing friction with the tongue, inner cheeks, and teeth. Can I use an over-the-counter dental file to smooth out the sharp areas myself, or should I consult a dentist ...
Dr. Zeng Guanghui Reply:
Hello Mr. Timothy: It is recommended to consult a dentist to address the sharp edges of the molars. Dr. Tseng Guang-Hui from Nantou Hospital's Dental Department.[Read More] Can You Use a Tooth File for Sharp Molars or See a Dentist?
After Wisdom Tooth Extraction: What to Do About Exposed Bone Fragments?
After the extraction of a wisdom tooth, a bone fragment protruded, and the doctor removed it directly? Doctor, I had my upper left wisdom tooth extracted about a month ago, and since then, there has been a hard piece on my gum that keeps irritating my cheek. During my follow-up v...
Dr. Lin Jiayong Reply:
Hello: It is recommended to observe for 1 to 2 weeks to see if the symptoms improve, as only the physician at the time of treatment knows the most appropriate course of action. Currently, what you can do is to wait for the wound to heal.[Read More] After Wisdom Tooth Extraction: What to Do About Exposed Bone Fragments?
The Importance of 3D CT Scans for Invisalign and Palate Expanders
The Necessity of 3D Computed Tomography (CT) Hello, Doctor. I am 22 years old and I would like to undergo Invisalign treatment for orthodontics. However, I may need to use a palatal expander first. Do I need to have a 3D cone beam computed tomography (CBCT) scan of my teeth befor...
Dr. Lin Jiayong Reply:
Hello: If your financial situation allows, it is advisable to prepare all necessary information in advance, especially for a comparative analysis before and after treatment to confirm that the results meet your or your physician's expectations. Additionally, for some deep an...[Read More] The Importance of 3D CT Scans for Invisalign and Palate Expanders
Understanding Recurrent Inflammation After Root Canal Treatment
Recurrent root canal inflammation? I would like to inquire about a tooth for which I am considering getting an implant. Last year, I had a dental crown placed, but over the past year, I have experienced recurrent pain when biting and had to have it opened twice. The last time it ...
Dr. Zeng Guanghui Reply:
Hello Mr. Jas: If a tooth undergoes root canal treatment but has a small crack that frequently causes gum inflammation, and the inflammation recurs, it is advisable to consider extracting the tooth and then exploring options for dental implants or other forms of prosthetics. Dire...[Read More] Understanding Recurrent Inflammation After Root Canal Treatment
Understanding Jaw Issues After Ankle Injury: A Patient's Journey
Swallowing saliva, wisdom tooth issues? Hello Doctor, On September 11th of this year, I sprained my left ankle while carrying four large bags of trash at my rental place in Banqiao. I missed the last two steps and fell. I went to an orthopedic doctor and had two X-rays, which c...
Dr. Zeng Guanghui Reply:
Hello Ms. Caroline: If the discomfort in your temporomandibular joint persists, it is recommended to return to the oral surgeon for further evaluation. If you are experiencing pain in your temples, it could also be a migraine issue, so it is advisable to consult a neurologist for...[Read More] Understanding Jaw Issues After Ankle Injury: A Patient's Journey
Is My Gray Front Tooth a Sign of Pulp Necrosis After 20 Years?
The front teeth have been gray for 20 years; could this indicate pulp necrosis? Hello, Doctor. I had orthodontic treatment 20 years ago, and since then, one of my front teeth has been discolored, appearing gray, but there have been no symptoms. In recent years, dentists at a clin...
Dr. Lin Jiayong Reply:
Hello: If you are concerned about pulp necrosis, it is recommended to visit the endodontics department of a medical center for a detailed examination. After identifying the cause of the discoloration, you can then decide on the appropriate treatment options.[Read More] Is My Gray Front Tooth a Sign of Pulp Necrosis After 20 Years?
Is It Normal for Bone Graft Material to Fall Out After Six Months?
Bone meal issue Hello Doctor, today while using dental floss, I noticed a piece of bone graft material (the lower part embedded in the tissue) came out next to my implant (which has not yet had the crown placed). I am hesitant to remove it myself with tweezers. I found online tha...
Dr. Lin Jiayong Reply:
Hello: It is advisable for you to return for a follow-up appointment as soon as possible. Please do not attempt to remove anything around the implant yourself, as it could be other components, and removing them could lead to more complications. If it cannot be absorbed, we must a...[Read More] Is It Normal for Bone Graft Material to Fall Out After Six Months?
Post-Teeth Cleaning Numbness and Pain: Is It Nerve Damage or Infection?
Numbness at the tip of the tongue and bleeding from a hole after teeth cleaning? Hello, due to pain near my wisdom tooth, I visited a dental clinic for treatment. During the teeth cleaning process, I bled quite a bit (my wisdom tooth is horizontal). The next day, I started experi...
Dr. Lin Jiayong Reply:
Hello: During the teeth cleaning process, the dentist may have applied a local anesthetic to the gums or inside the mouth, which can cause a tingling sensation. The dental cleaning instrument is quite large and is unlikely to touch the nerve beneath the wisdom teeth. To determine...[Read More] Post-Teeth Cleaning Numbness and Pain: Is It Nerve Damage or Infection?
Understanding Oral Discomfort: Common Dental Concerns Explained
Oral issues Hello, Doctor. Sometimes after brushing my teeth or using mouthwash, I notice a more pronounced sensation (though I think I've felt this for several years but never paid much attention to it until I started to feel it more when I press with my tongue). I feel lik...
Dr. Zeng Guanghui Reply:
Hello Mr. Lin: It is possible that there is bone proliferation on the inner side of the maxilla. It is recommended to consult a dentist for further examination. Director Tseng Guang-hui, Nantou Hospital Dental Department.[Read More] Understanding Oral Discomfort: Common Dental Concerns Explained
Understanding Tooth Sensitivity After Crown Placement: Causes and Solutions
Tooth sensitivity after crown placement? Hello, doctor. I had a root canal treatment on my upper right premolar about seven to eight years ago, and it was capped afterward. However, in the past six months, I have developed a habit of grinding my teeth, which has caused wear and i...
Dr. Zeng Guanghui Reply:
Ms. Anonymous: If the upper premolar that has been re-braced has already undergone root canal treatment, there should not be any sensitivity or pain. However, if gum recession has caused larger gaps between the teeth, making it easier for food to get stuck, in addition to maintai...[Read More] Understanding Tooth Sensitivity After Crown Placement: Causes and Solutions
Understanding Root Canal Cracks: Treatment Options and Long-Term Care
Root canal fracture Hello: Previously, I had a gum abscess and had to remove my dentures to undergo root canal treatment, where a crack was discovered inside. The endodontist advised me not to keep the tooth, as bacteria would likely re-enter. After cleaning, the condition improv...
Dr. Lin Jiayong Reply:
Hello: If the first dentist has informed you that the tooth is unresponsive to treatment, and you have now confirmed that it is indeed undergoing ineffective treatment, it is advisable not to pursue any further out-of-pocket or invasive procedures at this time. Instead, consider ...[Read More] Understanding Root Canal Cracks: Treatment Options and Long-Term Care
Pain When Pressing on Tooth After Filling: What You Need to Know
Pain upon pressure after filling a cavity between the teeth? Hello Dr. Lin! In mid-August, after moving, I found a new dentist, Dr. A, near my new home for a routine teeth cleaning. During the visit, she discovered a cavity in the interproximal area of my lower right second molar...
Dr. Lin Jiayong Reply:
Hello: 1. To determine if cavities have been completely cleaned, X-rays can be taken as evidence. 2. If there are indeed residual caries, the tooth itself has some resistance (the dental pulp's vitality will activate immune mechanisms). 3. It is advisable to seek treatment f...[Read More] Pain When Pressing on Tooth After Filling: What You Need to Know
Understanding Non-Vital Teeth: Causes and Symptoms of Dental Necrosis
Inquiry about the issue of unexplained necrotic teeth? Hello Dr. Lin, I have a tooth that experienced severe pain in 2019. Recently, both cold and electric pulp tests at the clinic and medical center indicated that the tooth is non-responsive. Lately, there has been sensitivity a...
Dr. Lin Jiayong Reply:
Hello: If periapical periodontitis has already occurred, it is recommended to prioritize root canal treatment. If there is no improvement, consider combining it with periodontal surgery. There are many causes of pulp necrosis, including bacterial infection, but more commonly due ...[Read More] Understanding Non-Vital Teeth: Causes and Symptoms of Dental Necrosis
What to Do When Your Natural Tooth Breaks After Getting Dentures?
The dentures were completed less than a month ago, and now a natural tooth has fallen out..? I just got my removable partial denture two weeks ago, and one day while having breakfast, the only remaining natural tooth on the lower left side with a fixed clasp suddenly broke. What ...
Dr. Lin Jiayong Reply:
Hello: It is recommended to return to the original clinic to see if it can be addressed through the method of dental augmentation.[Read More] What to Do When Your Natural Tooth Breaks After Getting Dentures?
Post-Wisdom Tooth Extraction: When to Seek Dental Care?
Post-operative issues after wisdom tooth extraction? After having your wisdom teeth removed, if the area next to the extraction site was sutured with absorbable stitches and you notice that the stitches seem to have broken two days post-surgery, along with pain and some bleeding ...
Dr. Lin Jiayong Reply:
Hello: It is recommended to return for a follow-up visit to check if additional sutures are needed and to apply medication for disinfection.[Read More] Post-Wisdom Tooth Extraction: When to Seek Dental Care?
Is a Palate Expander Necessary for Jaw Alignment and Dental Health?
What is the necessity of a maxillary expander? Hello, Doctor. 1. I am a 20-year-old male who has had a full mouth X-ray and a temporomandibular joint (TMJ) X-ray. The TMJ specialist indicated that the articular discs on both sides are anteriorly displaced, with the right side b...
Dr. Lin Jiayong Reply:
Hello: Issues related to orthodontics or aesthetic medicine are highly individualized and non-essential medical procedures, making it difficult to provide generalized answers online. Additionally, they often involve significant out-of-pocket expenses. It is advisable to choose a ...[Read More] Is a Palate Expander Necessary for Jaw Alignment and Dental Health?
Gum Pain Without Dental Issues: Seeking Answers for Persistent Discomfort
Gum pain with normal teeth? Over a year ago, I started experiencing pain when pressing on a specific spot on my gum related to one of my teeth. It doesn't hurt or show any redness or swelling when not pressed. I have seen many dentists and had X-rays done, all of which showe...
Dr. Lin Jiayong Reply:
Hello: "It won't hurt if you don't press it." "Many dentists and X-rays show that the teeth are normal." It is recommended to just observe and not to intentionally press on the gums. If you still feel discomfort, consider going to a medical center fo...[Read More] Gum Pain Without Dental Issues: Seeking Answers for Persistent Discomfort
Dealing with Gum Discomfort After Dental Work: What to Do Next?
Gum discomfort? Hello Doctor, around early September when I had my braces removed, I discovered a secondary cavity in my lateral incisor. It was excavated and filled; the cavity was deep but not yet reaching the nerve. After the filling, I have had no issues with chewing, but occ...
Dr. Zeng Guanghui Reply:
Hello Ms. An: If you are experiencing inflammation and pain in your gums, it may be due to the filling being positioned below the gum line, which is putting pressure on the gums. It is recommended to adjust the filling or consider surgical removal of the gum tissue. Please return...[Read More] Dealing with Gum Discomfort After Dental Work: What to Do Next?